姓名 : _____________Name: _____________年齡 Age: _____________職業 : _____________Occupation: _____________政治聯繫 : _____________Political Affiliation: _____________電郵地址/網址

E-mail Address/ Website: _____________

選舉信息 Electoral Message: 候選人編號 Candidate Number

Q29_CHEUNG M H_DC2019_single.indd 1 22/10/2019 下午2:25

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